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Shatner and others (including me) are particularly concerned for veterans of the Iraq and Afghanistan wars. To date, there is no cure for tinnitus, no pill to take, although there are some treatments which provide relief.
Use of this site constitutes acceptance of our User Agreement (effective January 1, 2014) and Privacy Policy (effective January 1, 2014). Tinnitus refers to a condition where a person constantly experiences buzzing sound in the ears. A common myth is that tinnitus leads to loss of hearing, but studies have revealed that people experiencing tinnitus face no problem in hearing.
If you don’t like bananas, you can go for other potassium rich fruits that include apple or apricots. One study published in American Journal of Otolaryngology found that ringing in the ears is associated with deficiency of vitamin B12. Though researchers are not exactly sure, but few studies have shown that a link exists between ringing in the ears and inflammation. We are suggesting such a strategy because pineapple contains bromelain that is capable of reducing inflammation in the body. How to cite this article Nicolas-puel C, Faulconbridge RL, Guitton M, Puel J, Mondain M, Uziel A. The aim of this study was to highlight the clinical characteristics of tinnitus and to attempt a quantitative assessment in relation to any underlying etiologies. Tinnitus constitutes an important public health problem; it is estimated that in France alone, there are 5 million tinnitus sufferers.
One hundred twenty-three patients were treated in a specialist tinnitus clinic at Gui de Chauliac1 Hospital, Montpellier, France, between 1998 and 2000 [1].
The assessment was based on a questionnaire that was used to evaluate the clinical aspects of tinnitus (see the appendix at end of article). When asked, patients usually liken the sound of their tinnitus to environmental noise, such as the sound of the wind or the sound of an insect. To investigate the temporal variation of tinnitus, patients were asked whether the intensity of their tinnitus was stable or whether it fluctuated during the course of the day. The aim of the clinical examination was to determine any underlying etiology that would explain the presence of tinnitus.
The great majority of patients (almost 90%) presented with tinnitus associated with deafness of known etiology (Table 1). Hearing losses were divided into four groups: highfrequency (60%), low-frequency (25%), flat losses (11%), and dead ear (2%).
Of the patients from the endocochlear group, 65% had stable tinnitus, and 32% had fluctuating tinnitus. Of patients with Meniere's disease or Meniere's-like syndrome, 84% described fluctuating tinnitus.
Of patients with endocochlear deafness, 77% described their tinnitus as a high-pitched whistling, and 21 % described it as a low-pitched buzzing (Fig. In our study, 58 of the 77 patients with a stable high-pitched tinnitus (77%) had a high-tone hearing loss.
This study attests to the rare incidence of objective tinnitus: There was no case of objective tinnitus in this series. The study of the etiology of the underlying deafness offers interesting results for understanding tinnitus, especially in patients with high-frequency hearing loss. We have confirmed in this study that the general frequency of tinnitus pitch perceived by the patient is correlated in broad terms with the frequency of the hearing loss, in agreement with some other studies [7]. This study has raised interesting findings about the fluctuation of tinnitus after periods of sleep, especially in patients with low-frequency tinnitus. We have shown in this study that audiometry can be used as a simple indirect test to evaluate tinnitus, as it correlates well with a visual analog scale of tinnitus intensity in the majority of our patients. We thank Professors Bernard Guerrier and Remy Pujol, who supported and encouraged this work. The actor William Shatner has suffered from tinnitus since an explosion on the set of Star Trek occurred decades ago. Soram KhalsaAs an MD, Dr Soram specializes in Integrative Medicine combining diet, nutrition, acupuncture, herbs and nutrition.
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Other foods that contain high amounts of potassium include yogurt, salmon, white mushrooms and baked potato. So, if you are suffering from tinnitus, include foods that are rich in vitamin B12 can help you to alleviate the symptoms associated with tinnitus. However, make sure that you don’t eat too much of these because high intake of animal protein can cause other problems.
In such a case, including pineapple in your diet plan can be an effective way of reducing inflammation. For this reason, it is crucial to include zinc rich foods in your eating plan.  Examples of such foods can include meat and shellfish. However, at the same time, you should avoid certain foods so that the situation is not aggravated. You accept that you are following any advice at your own risk and will properly research or consult healthcare professional. Characteristics of Tinnitus and Etiology of Associated Hearing Loss: A Study of 123 Patients.
We undertook to study a population of 123 patients attending a tinnitus clinic between 1998 and 2000.
Although previous studies have been descriptive, few have attempted a quantitative assessment of tinnitus qualities, such as its intensity, and have correlated it with the etiology of any associated hearing loss.


To allow its easy use during normal otological clinic visits, the questionnaire was based on a vertigo and hearing loss questionnaire already in use, and it was limited to certain aspects.
The frequency composition of tinnitus is extremely difficult both to describe and to understand, especially for those patients with low-pitched or complex tinnitus, even when using an audiometer or a synthesizer to define tinnitus pitch [2].
If the latter was the case, we asked them to evaluate this fluctuation on a visual analog scale, with the maximum value corresponding to the loudest intensity during the course of the day and the minimum value corresponding to the weakest intensity.
All patients underwent a full otological, audiological, and vestibular examination, which included audiometry, evoked otoacoustic emissions (OAEs), evoked auditory brainstem potentials, and videonystagmoscopy (two CCD cameras mounted on lightproof goggles). All but one of the patients with tinnitus seen in this specialist clinic had an associated hearing loss.
Evoked OAEs were performed in the first 50 patients only, because the high incidence of hearing thresholds greater than 30 dB in our patients meant that OAE assessment contributed little to the evaluation of the etiology. Patients with active endolymphatic hydrops described fluctuation of their tinnitus during vertiginous attacks but, interestingly, also every day between crises, even when they thought that their hearing was stable.
Obviously, our hospital population was selfselected and does not necessarily reflect the true epidemiology of tinnitus.
This type of subjective tinnitus reflected a cochlear problem in the majority of cases: More than 80% were associated with an endocochlear hearing loss.
A strong correlation was seen between clinical characteristics of tinnitus and the nature of the cochlear pathology.
By simply having three categories of tinnitus pitch in the questionnaire (high pitch, low pitch, or other), we have avoided some of the problems associated with pitch matching using an audiometer.
Many studies report tinnitus associated with sleep disturbance, but a literature review does not reveal any other studies reporting such marked increase in tinnitus on waking. We believe that it is important to develop this clinically based approach, and we will continue to investigate further correlations in our clinic. Gui de Chauliac (1300- 1368) was a physician associated with the Montpellier School of Medicine; he wrote what became the standard book on surgery for the next two centuries. Although patients do not typically experience pain with tinnitus, like pain syndromes, there is a feeling of helplessness associated with the condition. He is now a spokesperson for the American Tinnitus Association (ATA), helping to raise awareness of the disease and funding for research. In 2010, the Veterans Administration paid out more than $1 billion for tinnitus disability claims alone. However, it is not easy to cure but there are different ways by which you can manage Tinnitus.
This is because bananas are rich in potassium, which ensures proper flow of fluids in the body.
Their answers on a questionnaire allowed detailed evaluation of the characteristics of tinnitus, including such variables as the circumstances in which the tinnitus was first noticed and evaluation of its intensity and frequency. If the assessment did not uncover any obvious precipitating events, the tinnitus was considered to have arisen spontaneously.
Tinnitus that was present on some days but entirely absent on others was designated as intermittent (Fig. Three categories of tinnitus emerged from our survey: tinnitus with a stable intensity over time, tinnitus perceived to fluctuate in relation to periods of sleep, and tinnitus perceived as intermittent (present on certain days but not on others). If it was necessary for diagnosing the hearing loss, we also performed supplementary investigations: videonystagmography when hearing loss was associated with vertigo, magnetic resonance imaging when retrocochlear hearing loss was suspected, or magnetic resonance angiography, Doppler imaging of the local vasculature, and tomodensitometry of the temporal bone to evidence vascular problems.
Even though deafness had not been described by any of the patients, audiometry unmasked in each patient a high-frequency loss that was more marked (10 dB) in the ear affected with tinnitus. At age 23, he described his tinnitus as "creaking"; it was precipitated by movement of his head.
Because such a significant number of patients with tinnitus had an endocochlear hearing loss (8l.3%), we looked in more detail at this subgroup.
Each portion of the chart represents tinnitus associated with endocochlear deafness according to its variability of intensity over time. It is interesting to note that the remaining 16% of patients with Meniere's disease or syndrome had had it for more than 5 years; they had a stable hearing loss and no vertiginous attacks for 2 years, and they described their tinnitus as stable (see Fig. Only 2% of patients were unable to categorize their tinnitus into either of these categories. Each portion of the chart represents tinnitus associated with endocochlear deafness according to its frequency characteristics. This correlation was calculated for those patients with stable, high-pitched tinnitus and a high-pitched hearing loss. Studies that use an audiometer or synthesizer for pitch matching have found the process to be very difficult, both because of the difficulty that patients have in matching complex tinnitus and because of the possible modulation of the tinnitus by the external sound [8]. He recommended fumigation of the ear with ox urine , vinegar, and myrrh for certain cases of tinnitus. These phantom sounds are usually annoying, the way that radio static or high-pitched emergency signals are bothersome. This often leads to secondary medical problems, such as depression, anxiety, and exacerbated stress levels.
However, if you are suffering from tinnitus, including certain foods in the diet plan can help you to reduce the symptoms associated with it. The patients each underwent a full neurootological examination with the aim of diagnosing an etiology.
The assessment of patients with tinnitus was similar to that for patients with vertigo and hearing loss, within the setting of a neurootology clinic. In each case, the patients were able to state the exact time and date of onset of their tinnitus. In none of these four patients did clinical or vascular examination identify an underlying cause. It is impossible to say whether the deafness was linked to the head trauma (although this is likely) or whether it preceded it.


Tinnitus was stable in 65 cases, fluctuant in intensity in 32 cases, and intermittent in 3 cases.
Tinnitus was perceived as a high-pitched whistling in 77 cases and as a low-pitched buzzing in 21 cases.
The intensity of the tinnitus (x axis) was measured on a visual analog scale graduated from 0 to 100. In cases of active Meniere's disease or Meniere' s-like syndrome with low-frequency hearing loss, the tinnitus was almost always described as a fluctuating low-pitched noise, even between vertiginous crises. In J-M Aran, R Dauman (eds), Tinnitus 91: Proceedings of the Fourth International Tinnitus Seminar. About 12 million Americans are disturbed enough to seek medical help for the ringing in their ears; 2 million are literally disabled by their tinnitus, unable to work, sleep, or function normally. In fact, 75% of people aged 18 to 30 experience tinnitus from listening to very loud music at live venues or through headphones. The tone varies, from a soft whoosh like a shower to a piercing screech resembling a dental drill.
The great majority of tinnitus patients had an endocochlear deafness and, among these patients, acoustic trauma, endolymphatic hydrops, and presbyacusis were the commonest diagnoses (32%,32%, and 23%, respectively).
Zero corresponds to an absence of tinnitus; 100 corresponds to the loudest tinnitus you can imagine.
One patient attending the tinnitus clinic was given a diagnosis of an acoustic neuroma, two patients of vascular loops in the internal auditory meatus, and two of cholesteatoma. Even though it was thought that his tinnitus had an origin in some head or neck joint and thus was a somatic noise, it was not possible to define it further. All patients who described their tinnitus as fluctuating in intensity described a very clear increase in intensity of their tinnitus after periods of sleep (whether nighttime or siesta). The highfrequency hearing loss (y axis) was calculated as a mean of the thresholds over three frequencies (4 , 6, and 8 kHz). The aim of the clinical examination was to diagnose the etiology of any underlying hearing loss. Those patients with active Meniere's disease or Meniere's-like syndrome described a low-pitched buzzing tinnitus. However, four patients did have a presbyacusis, and one had a mild hearing loss in the higher frequencies. Tinnitus—the false perception of sound in the absence of an acoustic stimulus, a phantom noise—is one of the most common clinical syndromes in the United States, affecting twelve per cent of men and almost fourteen per cent of women who are sixty-five and older. Analysis of those patients with a stable high-pitched tinnitus associated with a high-frequency hearing loss shows a statistically significant correlation between the elevation of the audiometric thresholds and the loudness of the tinnitus. The quality of the bestfitting linear regression curve is indicated by r, and the number of patients by n. It only rarely afflicts the young, with one significant exception: those serving in the armed forces. For a large majority of patients with tinnitus, therefore, audiometry provides an indirect test for evaluating the tinnitus.
This past August, I visited SUNY Buffalo, which houses one of the major clinical and research centers for the evaluation and study of tinnitus.
After filling out a detailed questionnaire, I met with Christina Stocking of the Speech-Language and Hearing Clinic, who has a doctorate in audiology and specializes in the condition. Stocking thought that I might have suffered noise trauma during a youth spent on the New York City subways. Sitting in the first row of a rock concert exposes you to between a hundred and ten and a hundred and twenty decibels; the screech of the New York subways can reach about a hundred and fifteen decibels.
Moreover, since much of the New York subway system is underground, the noise reverberates in the tunnels, unlike in Boston, where many of the trains are above ground and noise dissipates, or in Paris, where several metro lines run on rubber wheels. Normally, the outer ear, known as the pinna, collects sound waves and directs them into the ear canal, which carries the sound waves to the eardrum.
In turn, the eardrum vibrates, and these tremors are picked up by the three tiny bones in the middle ear: the malleus (resembling a club), the incus (shaped like an anvil), and the stapes (similar to a stirrup). These bones amplify the sound vibrations and transmit them to the inner ear, where the cochlea converts the vibrations into electrical impulses, which travel from the acoustic nerve to the part of the brain that processes sound, the auditory cortex.
Tinnitus can be temporary, caused by excess wax, an infection of the inner ear, or the toxic effects of drugs like aspirin (which appears to weaken the neural signals from the ear to the brain) or those used to treat cancer. Some people with normal hearing develop spontaneous tinnitus when placed in total silence; this is believed to be a response of the auditory cortex to the abnormal absence of all ambient sounds. But the majority of people with chronic symptoms develop them in conjunction with hearing loss.
With the recent proliferation of MP3 players, rates of hearing loss and tinnitus may rise sharply in the coming years.
A recent European Union study has projected that as many as ten million Europeans may be at risk of developing severe hearing loss as they age; and, according to the American Academy of Audiology, noise-induced hearing loss affects about one out of every eight children in the United States.
Although my eardrums functioned well, Stocking said, the last two tests showed signs common to hearing loss at high frequencies, usually owing to age and noise trauma. Lobarinas showed me a Plexiglas platform with an embedded pressure sensor attached to a computer. First, a normal rat that served as a control was caged under the canopy and the entire apparatus was placed inside an acoustic chamber, into which Lobarinas delivered a steady noise with a narrow frequency range. He is active in the Iraq and Afghanistan Veterans of America and works as a blood-donor recruiter at Robertson Blood Center, at Fort Hood, in Texas. The theory, elaborated by Jastreboff, is that when more sounds are fed to the brain sensitivity and spontaneous activity decline—the effect Hippocrates remarked upon.



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